Pharmacological treatment of migraine: Drug classes, mechanisms of action, clinical trials and new treatments.

5-HT CGRP clinical trials migraine migraine acute treatment migraine chronic treatment

Journal

British journal of pharmacology
ISSN: 1476-5381
Titre abrégé: Br J Pharmacol
Pays: England
ID NLM: 7502536

Informations de publication

Date de publication:
12 2021
Historique:
revised: 28 07 2021
received: 15 01 2021
accepted: 02 08 2021
pubmed: 12 8 2021
medline: 15 3 2022
entrez: 11 8 2021
Statut: ppublish

Résumé

Migraine is the sixth most prevalent disease globally, a major cause of disability, and it imposes an enormous personal and socio-economic burden. Migraine treatment is often limited by insufficient therapy response, leading to the need for individually adjusted treatment. In this review, we analyse historical and current pharmaceutical development approaches in acute and chronic migraine based on a comprehensive and systematic analysis of Food and Drug Administration (FDA)-approved drugs and those under investigation. The development of migraine therapeutics has significantly intensified during the last 3 years, as shown by our analysis of the trends of drug development between 1970 and 2020. The spectrum of drug targets has expanded considerably, which has been accompanied by an increase in the number of specialised clinical trials. This review highlights the mechanistic implications of FDA-approved and currently investigated drugs and discusses current and future therapeutic options based on identified drug classes of interest.

Identifiants

pubmed: 34379793
doi: 10.1111/bph.15657
doi:

Substances chimiques

Pharmaceutical Preparations 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

4588-4607

Informations de copyright

© 2021 The Authors. British Journal of Pharmacology published by John Wiley & Sons Ltd on behalf of British Pharmacological Society.

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Auteurs

Farzin Zobdeh (F)

Department of Pharmacology, Institute of Pharmacy, I.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Functional Pharmacology, Department of Neuroscience, Uppsala University, Uppsala, Sweden.

Aziza Ben Kraiem (A)

Department of Pharmacology, Institute of Pharmacy, I.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Functional Pharmacology, Department of Neuroscience, Uppsala University, Uppsala, Sweden.

Misty M Attwood (MM)

Functional Pharmacology, Department of Neuroscience, Uppsala University, Uppsala, Sweden.

Vladimir N Chubarev (VN)

Department of Pharmacology, Institute of Pharmacy, I.M. Sechenov First Moscow State Medical University, Moscow, Russia.

Vadim V Tarasov (VV)

Department of Pharmacology, Institute of Pharmacy, I.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Institute of Translational Medicine and Biotechnology, I.M. Sechenov First Moscow State Medical University, Moscow, Russia.

Helgi B Schiöth (HB)

Functional Pharmacology, Department of Neuroscience, Uppsala University, Uppsala, Sweden.
Institute of Translational Medicine and Biotechnology, I.M. Sechenov First Moscow State Medical University, Moscow, Russia.

Jessica Mwinyi (J)

Functional Pharmacology, Department of Neuroscience, Uppsala University, Uppsala, Sweden.

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